ROT 13 - Prolonged Labor due to Nuchal Cord

Scenario:
Received Patient J at ZCMC delivery room. She is 21 yrs. old, G2 P1 T1 A0 L1 with IVF of LR 1L 650 cc
fluid level at 20gtts/min. at left cephalic vein infusing well and, a trans-in patient from birthing due to
prolonged labor. With a complain of LSP, crying and becomes irritable during contractions. BP is 110/80
with VE of 5cm dilated, 60% effaced and station -2. FHT of 136 beats /min. With UZ result -? Nuchal Cord
for further management and reassessment.

Please answer:
1. What should the nurse do? Enumerate nursing actions according to priority.
2. What are her dependent and independent nursing function?
3. What are the priority health teachings (2 HTP) on this type of condition?
4. The succeeding requirements should be accomplished following the format given:
a. Study on illness condition (2)
b. Top 3 priority NCP
c. Drug Study

ROT 14 - Post Maturity with Premature Rapture of Membrane

Scenario:
Nurse Rima received Patient K from ER ZCMC to delivery Room on her active Stage of labor at 9 am. She
is 37 yrs. old and a G4 P2 T2 A1 L2 at 40 AOG patient. With a complain of LSP and as observed, she
becomes distress during contraction. Patient is with IVF of D5LR 1L at 20 gtts/min at 500 cc fluid level at
right metacarpal vein infusing well. VE was done and cervix is 6cm dilated, 80% effaced and, station -1,
with meconium stain. As claimed by patient, PROM since 4 am. FHT of 125 beats/min, FH – 34cm and BP
of 130/80 mmHg. As endorsed by the ER nurse, patient is for CTG monitoring, oxygen inhalation via face
mask at 4L/min and for reassessment.

Please answer:
1. What should the nurse do? Enumerate nursing actions according to priority.
2. What are her dependent and independent nursing function?
3. What are the priority health teachings (2 HTP) on this type of condition?
4. The succeeding requirements should be accomplished following the format given:
a. Study on illness condition (2)
b. Top 3 priority NCP
c. Drug Study
ROT 15 - Gestational DM with Obstructed Labor

Scenario:
Nurse Jocelle received Patient M from birthing to delivery Room – ZCMC via stretcher on her transition
Stage of labor at 8 am. She is 34 yrs. old and a G3 P2 T2 A0 L2 at 39 AOG. With a complain of LSP,
crying, distress and with IVF of D5LR 1L at 20 gtts/min at 700 cc fluid level at right basilic vein infusing
well. VE was done and cervix is fully dilated, 100% effaced and, station zero, FHT of 128 beats/min, FH –
36cm and BP of 140/90 mmHg. As endorsed by the nurse, patient is for CTG monitoring, oxygen inhalation
via face mask at 4L/min and for reassessment.

Please answer:
1. What should the nurse do? Enumerate nursing actions according to priority.
2. What are her dependent and independent nursing function?
3. What are the priority health teachings (2 HTP) on this type of condition?
4. The succeeding requirements should be accomplished following the format given:
a. Study on illness condition (2)
b. Top 3 priority NCP
c. Drug Study

ROT 16 - Premature Delivery

Scenario:
Nurse Eva received Patient N from ER ZCMC to delivery Room on her active Stage of labor at 10 am. She
is 18 yrs. old and a G2 P1 T1 A0 L1 at 30 AOG patient. With a complain of bloody show, LSP and as
observed, she becomes distress during contraction and crying. Patient is with IVF of D5LR 1L at 20 gtts/min
at 800 cc fluid level at right cephalic vein infusing well. VE was done and cervix is 6cm dilated, 80%
effaced and, station -1. As claimed by patient, PROM since 6 am. FHT of 135 beats/min, FH – 22cm and BP
of 130/80 mmHg. As endorsed by the ER nurse, patient is for reassessment.

Please answer:
1. What should the nurse do? Enumerate nursing actions according to priority.
2. What are her dependent and independent nursing function?
3. What are the priority health teachings (2 HTP) on this type of condition?
4. The succeeding requirements should be accomplished following the format given:
a. Study on illness condition
b. Top 3 priority NCP
c. Drug Study
ROT 17 - 4. Uterine Inversion

Scenario:
Nurse Bea was assisting Patient L in labor at ZCMC delivery Room. She is 24 yrs. old and a G6 P3 T3 A2
L3 at 38 AOG. With a complain of LSP, crying, distress and with IVF of D5LR 1L at 20 gtts/min at 900 cc
fluid level at right basilic vein infusing well. VE was done and cervix is fully dilated, 100% effaced and,
station +1, FHT of 138 beats/min, and BP of 140/90 mmHg. 30 mins after, patient delivered to an alive baby
boy, good APGAR score and EINC was performed. Placenta also then was delivered carefully.
Unfortunately, patient was bleeding profusely (500 cc and even more). Despite triple oxytocin plus uterine
massage was performed, patient still is bleeding.

Please answer:
1. What should the nurse do? Enumerate nursing actions according to priority.
2. What are her dependent and independent nursing function?
3. What are the priority health teachings (2 HTP) on this type of condition?
4. The succeeding requirements should be accomplished following the format given:
a. Study on illness condition (2)
b. Top 3 priority NCP
c. Drug Study